Orthopedics

The cerebro-spinal tuberosity fractures (CT) are complex fractures. The existence of a dislocation of the head or fracture even worse prognosis. Several therapeutic alternatives have been proposed in this context. We report a case of fracture dislocation of the humeral head associated with a fracture of the humeral shaft in a matter of 79 years, treated by intramedullary antegrade nailing with self-stabilizing screws type TARGON Consolidation is achieved at 8 weeks, the fracture reduction is acceptable.

Abstract Background: Infantile Digital Fibromatosis is a rare benign fibro proliferative tumour of early childhood. Case characteristics: A six-month-old boy with swelling on the right third digit histopathologically fibromatosis. Observation: Congenital onset in our patient. Message: Reassure about benign nature to avoid unnecessary surgical intervention. Key words: Infantile digital fibromatosis (IDF), benign

Synovialosarcoma is one of the most common soft tissue sarcomas. Despite its name, the synoviolosarcome does not seem to be of synovial origin, but is rather derived multipotent cells. Paradoxically, the more often it is tumors that are within distance joints. Synovialosarcoma is in order of frequency the third histological type among soft tissue sarcomas. Complete surgical removal of the tumor is the basis of traitement.la adjuvant radiotherapy for appears beneficial residual tumor. As for chemotherapy, it remains to be explored its role.

Galeazzi fracture involves a fracture of the radial shaft and a distal radioulnar dislocation (RCD). RCD lesions are almost always associated with isolated fractures of the radius. They often go unnoticed and their ignorance strike prognosis, because disorders pronosupination and the potential impact on the entire wrist. It was described by Sir Astley Cooper in 1866 for the first time. Judet in 1913 and in 1929 Schneck also described this injury but it is only since 1934 following the publication of 18 cases by Ricardo Galeazzi lesion that bears his name. This fracture is rare and only occurs in 6.8% of fractures of the forearm according to the review of 1934 fractures Moore.

Giant cell tumor (GCT) of the distal radius poses problems for reconstruction after resection. Several reconstructive procedures like vascularized and non-vascularized fibular graft, osteo-articular allograft, ceramic prosthesis and megaprosthesis are in use for substitution of the defect in the distal radius following resection. Most authors advocate wrist arthrodesis following resection of distal radius and non vascularized fibular graft. Here we have used a self-grafting by iliac crest the results are very satisfactory

The purpose of the study was to analyze the functional outcome of fractures of distal humerus managed with open reduction internal fixation by reviewing 47 cases of fracture distal humerus surgically managed with triceps sparing approach during December 2012 to September 2016. The medical reports and radiographs of 26 males and 21 females patients with a mean age of 34.87±14.11 years and a mean follow up time of 10.2months (range 3-18 months) were retrospectively and prospectively reviewed. Flexion , extension, range of motion , Mayo Elbow Performance Score (MEPS) , Disability of Shoulder Arm and Hand score (DASH SCORE), duration of surgery and blood loss were used to assess the functional outcome of fracture distal end humerus treated with ORIF through the triceps sparing approach. according to AO foundation (AO) Classification there were 2 cases of type A , 2 cases of type B , 17 cases of type C1 , 20 cases of type C2 and 6 cases of type C3 fractures. Out of 47 patients, 24(51%), 16(34%) , 7(15%) obtained excellent , good , fair MEP score respectively. No patient fell under poor category of MEP score.

The pelvic or innominate malalignment syndrome is most common in sports injuries and even in every client who presents with low back or pelvis pain and dysfunctions. In my experience, the treatments for the pelvic or innominate malalignments were best, using manual therapy techniques and focused on corrective exercises. The three manual techniques were we used to correct the pelvic malalignments are (i) trigger point release (TrP), (ii) muscle energy techniques (MET), and (iii) the Isolated and/or Core muscles strengthening exercises. The current study focused on the manual therapeutic corrections for the different common innominate malalignment presentations in soccer players.

In this report a case of periprosthetic fracture of femur associated with diabetes mellitus since 10 years, 2years ago, she was operated with A.M prosthesis for neck right femur fracture. It takes into account the site of the fracture, the stability of the implant, and the surrounding bone stock, which are the important elements of the fracture and hip that determines treatment.

Our work is a retrospective study of 14 cases of dorsal lunate fracture-dislocations of the carpus, listed in the service of traumatology and orthopedics of the Ibn Sina Hospital between 2010 and 2014. The back lunar dislocation of the carpus , the most common intra-carpal dislocations, interest in most cases of adult male youth, and whose injury was caused in half the time by accident from the public highway.The diagnosis is only radiological because the clinic can not be evocative.Surgical treatment was recommended at the outset in all cases. The dorsal approach was performed in 10 cases, and the volvar approach was used earlier in one case. Patients were reviewed at a mean of 30 months for clinical evaluation of functional results according to the score of Allieu and Witvoet. The results were satisfactory in all cases reviewed, and only three were lost to view. In conclusion and in light of a literature review, we believe that surgery alone provides a satisfactory reduction and repairs bone and ligament injuries, the only guarantee of a favorable outcome to avoid the long term most serious complication: osteoarthritis of the wrist.

The bone hemangioma is arare intraosseous benign vascular tumor. It primarily affects the vertebrae and skull;the lesion of the ulna is very rare. We report a rare case of hemangioma of the ulna initially diagnosed as osteoid osteoma. The aim of this study is to emphasize a diagnostic trap.